Healthcare Provider Details

I. General information

NPI: 1003250598
Provider Name (Legal Business Name): DEPENDABLE RIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2013
Last Update Date: 04/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3513 PLANO VISTA RD NE
RIO RANCHO NM
87124-4183
US

IV. Provider business mailing address

3513 PLANO VISTA RD NE
RIO RANCHO NM
87124-4183
US

V. Phone/Fax

Practice location:
  • Phone: 505-553-6521
  • Fax:
Mailing address:
  • Phone: 505-553-6521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN OBEJI
Title or Position: OWNER
Credential:
Phone: 505-553-6521